Individual
VALERIE L SWAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
019.029999
IL
Other
Enumeration date
07/29/2009
Last updated
08/19/2014
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